FORM 1023-EZ for FOREST HILLS BAPTIST CHURCH INC

Field Data
EIN 47-1493638
Case Number EO-2016123-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREST HILLS BAPTIST CHURCH INC
Organization’s Mailing Address PO BOX 10068
City ROCKVILLE
State MD
ZIP 20849
Accounting period End 12
Primary contact name JASON GOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOE LUSK
PASTOR AND PRESIDENT
1733 REDGATE FARMS CT
ROCKVILLE MD 20850

Officer/Director/Trustee Two

JASON GOD
DEACON, TRUSTEE, TREASURER, AND VIC
1100 HIGGINS PLACE
ROCKVILLE MD 20852

Officer/Director/Trustee Three

MILTON YANG
DEACON, TRUSTEE, ASSISTANT TREASURE
322 BEALL AVE
ROCKVILLE MD 20850

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2014
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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